Provider First Line Business Practice Location Address:
1111 EAST END BLVD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
Provider Business Practice Location Address City Name:
WILKES BARRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-824-3521
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2006